Chapter 12

Question 1

Climate of caring

Answer 1

Involves the people in the environment and the environmental atmosphere

Question 2

Relocation trauma

Answer 2

The movement from one environment to another can be extremely disruptive to the older adult: this disruption has been termed relocation trauma

Question 3

Settings of Care

Answer 3

Older persons may receive health-care services in a variety of settings. 
Most commonly used settings of care:
-Adult Day Services
-Home Care
-Community Based Care
-Hospice 
-Assisted Living Environment 
-Nursing Home 
-Acute Carr

Question 4

Ways a nurse can help an older person adjust to a new environment after relocation

Answer 4

• Limit the situation and the introduction of new people on the older persons first day in the setting
• Orient the older person to the environment slowly so he or she can incorporate new areas and routines gradually
• On the first day only introduce them to people and places that are absolutely necessary
• Look for ways to provide links between the old environment and the new one
• elder needs to be involved in moving plan

Question 5

Relocation Trauma (symptoms)

Answer 5

Symptom of Decompensation:

• Disorientation
• Hallucinations
• Agitation
• Acting out

Question 6

Relocation Trauma (nursing care)

Answer 6

• Temporary condition
• Familiar items such as furniture and photos
• Involve family and friends
• Be caring
• Limit stimulation

Question 7

Aspects included in Climate of Caring

Answer 7

• The people in the patients environment are extremely important for improvement and optimal function
• Families, staff, and visitors can be positive and uplifting or depressing and discouraging
• Includes person who presents a positive but realistic outlook
• Personal space is respected
• opportunities for privacy, encourages activity and involvement, and facilitates independence

Question 8

Settings in which nursing care for older adults is provided

Answer 8

• Adult Day Services (ADS)
• Home Care
• Community-Based Care
• Hospice
• Assisted Living Environment
• Nursing Homes
• Acute Care

Question 9

Physical environment

Answer 9

assessment of physical environment includes all of the following aspects of the older adults living situation that can be seen, heard, touched, or smelled

Question 10

Components of the physical environment that nurses need to consider

Answer 10

• How well does the older person function in the living areas?
• Is the environment as barrier-free as possible?
• Can a person walk or wheel through the environment without trouble?
• Are there features in the environment to promote physical function?

Question 11

Objective 4

Answer 11

pg 217 to 222